| NPI |
1366723074 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Provider Last Name Legal Name |
BEST |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider First Name |
CANDACE |
The first name of the provider, if the provider
is an individual. |
| Provider Credential Text |
PH.D. |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
| Provider First Line Business Practice Location Address |
101 PLAINSBORO RD |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
| Provider Business Practice Location Address City Name |
PLAINSBORO |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address State Name |
NJ |
The State code in the location of the provider
being identified. |
| Provider Business Practice Location Address Postal Code |
085361978 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
| Provider Business Practice Location Address Telephone Number |
6095201717 |
The telephone number associated with the location address of the provider being identified. |
| Provider Enumeration Date |
9/8/2011 |
The telephone number associated with the location address of the provider being identified. |
| Last Update Date |
9/9/2023 |
The fax number associated with the location
address of the provider being identified. |
| Provider Gender Code |
F |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Healthcare Provider Taxonomy Code 1 |
103TC2200X |
The date that a record was last updated or changed. |
| Provider License Number 1 |
99044615A |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Provider License Number State Code 1 |
IN |
The first name of the authorized official. |
| Healthcare Provider Primary Taxonomy Switch 1 |
N |
The title or position of the authorized official. |
| Healthcare Provider Taxonomy Code 2 |
103TC2200X |
The 10-position telephone number of the authorized official. |
| Provider License Number 2 |
PSY003981 |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
| Provider License Number State Code 2 |
GA |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
| Healthcare Provider Primary Taxonomy Switch 2 |
N |
|
| Healthcare Provider Taxonomy Code 3 |
103TC2200X |
|
| Provider License Number 3 |
PS019949 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
| Provider License Number State Code 3 |
PA |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
| Healthcare Provider Primary Taxonomy Switch 3 |
N |
|
| Healthcare Provider Taxonomy Code 4 |
103TC2200X |
|
| Provider License Number 4 |
35SI00720200 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
| Provider License Number State Code 4 |
NJ |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
| Healthcare Provider Primary Taxonomy Switch 4 |
Y |
|
| Is Sole Proprietor |
Y |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
| NPI Certification Date |
9/9/2023 |
|